CSEP objectives
- To establish standards of competence for fitness appraisal/ PT personnel and centers on national scale
- To encourage those currently working in the field or anticipation entering the field to comply with these standards
- To provide consumer protection by educating the public to recognize the distinction in qualifications between levels in the model
Types of CSEP certifications
CSEP Certified Personal Trainer
- Health-related fitness
CSEP Clinical Exercise Physiologist
- Health, Performance, Job related fitness and clinical population
CSEP CPT
- Introductory health and fitness practitioner certification
- Administers the CSEP-PATH to healthy populations or with one stable health condition
- Develops and implements a tailored physical activity, fitness and lifestyle plan
- Represents the minimum acceptable standard in the industry
- Minimum of two years university/college coursework in specifc core competency areas related to the exercise sciences from an accredited post-secondary instituation
CSEP CEP
- Advanced health and fitness practitioner certification
- Works with asymptomatic and symptomatic populations
- Provides appropriate advanced assessment and exercise therapy to clients including, but not limited to, those with musculoskeletal, cardiorespiratory and metabolic conditions
- Accept referrals from licensed health care professionals
- Gold standard in the industry
CSEP High Performance Specialist
Focuses on performance and occupational testing and training for qualified exercise professionals working with elite athletes, emergency services personnel, armed forces and high performance clients
- requires an additional theory exam once certified as CPT (or CEP)
CSEP Pre & Postnatal Exercise Specialization
Focuses on Safe exercise testing and prescription during pregnancy and the months that follow
- Requires an additional theory exam once certified as CPT or CEP
What is a Scope of practice
- A SOP provides a concise description, in broad, non-exclusive terms, of the activites and areas of professional practice
- It does not list specific tasks or procedures because these can become outdated as practice evolves in response to changes in knowledge
What happens when professionals work outside their SOP
- Risk the safety of their clients
- Expose themselves to legal risk
1) if the trainer causes an injury
2) fails to refer a client to another more appropriate health care provider
CSEP-CPT Scope of Practice
- Can work with apparently healthy people or people with one stable chronic condition who are able to exercise independently
- Conducts basic pre-participation health screening
- Gathers information about client’s PA/lifestyle behaviours
- Administers CSEP-PATH fitness assessment according to client’s goals and wishes
- Develops a health/fitness related, client tailored exercises prescription
- Recognizes their own area of expertise and refers clients who fall outside that expertise
- Cannot use an ECG
- Cannot conduct an exercise test or design a prescription that is >90% of max effort
- Cannot create diet plans
CSEP high performance specialist additional SOP
- Previous restrictions on maximal aerobic and anaerobic assessment protocols or exercises program development are lifted
- Previous restrictions on muscular strength assessment protocols or program design that exceed 90% 1-RM are lifted
CSEP-CEP SOP
- Everything a CPT can do
- Work with clients with more than one medical condition or with an unstable medical condition
- Can work with youth, older aged persons and performance testing
- Accept referrals from health care professionals
- Suggest dietary practices for health and performance
- Monitor the use of common medications in response to exercise
- Use ECG
- Take finger prick blood samples
- Cannot diagnose pathology or abnormal ECG tracings
- Work with acutely injured or diseased persons who are not within their area of expertise
Client safety and injury prevention
Consider benefits vs risk
- Relative risk is low, especially when compared to the health benefits associated with physical activity
Ensure adequate physical activity readiness screening and monitoring of client
Error on the side of caution
- Mild to moderate exercise intensity at the start of a program
- excessive intensity, frequency and duration offer very little additional benefit in terms or health status
Avoid high-risk/contraindicated exercises
Facility and Equipment standards
- Minimize risk for slips, trips and falls
- Check integrity of equipment
Includes: - Equipment maintenance
- Building Maintenance
- Safety & policy signs in clear view
- Environmental factors
Facility and Equipment standards: Equipment Maintenance
- Cleaned: 1/h or after individual use
- Functioning: 1/day
- Intact: 1/day
- Calibrated: based on Instructions/warranty (1/month)
Facility and Equipment standards: Building maintance
- Flooring: clear
- Mirrors: Have to check form
- Walls: sturdy
- Exits: well defined
-Storage areas - lighting: sight risks
Facility and Equipment standards: Safety and policy signs in clear view
- EAP
- Fire
- Privacy policy
Environmental Factors
- Stereo Volume: hear instructions
- Air temperature
Ways to be prepared for emergencies
- Complete readiness screening and ensure equipment is properly maintained
- Conduct emergency drills and practice CPR scenarios on a routine basis
- Have an EAP and know your role
Emergency Action Plan
- Written documentation with proper procedures for caring for injuries and dealing with emergencies
- prepare to deal with cardiovascular and/or musculoskeletal complications
- Should be clearly defined and posted in a visible location
What sorts of records should you keep as a CPT?
- Cleaning and maintenance
- Safety procedures
- Manufacturer’s warranties and guidelines
- Personnel Credentials
- Signed informed consent, GAQ, etc*
- injury report forms *
- Client data *
- SOAP notes *
Principles of keeping records
- Be well-organized & keep records of your client’s history, assessment results, training programs and progress
- must be kept in a secure environment
- In Ontario 10 years or 10 years after they turn 18
- All information containing personal information should be kept in password-protected files or locked cabinets
SOAP Notes
- A method of summarizing a session with a client common amongst physicians and other allied health professionals
- Used in addition to the client information sheet and other paperwork
S - Subjective data: based on their opinion or responses
O - Objective data: Data collected (measurements)
A - Assessment of problem
P - Plan of action
Professional Development
- Stay current on literature
- Attend Conferences
